PMID- 34140772 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220424 IS - 1176-6328 (Print) IS - 1178-2021 (Electronic) IS - 1176-6328 (Linking) VI - 17 DP - 2021 TI - Online Survey of Clinical Practice in Patients with Schizophrenia Treated with Long-Acting Injectable Aripiprazole or Paliperidone Palmitate. PG - 1881-1892 LID - 10.2147/NDT.S303292 [doi] AB - BACKGROUND: To obtain real-world evidence of functional improvements during atypical long-acting injectable (aLAI) therapy in recent-onset schizophrenia, an online survey was conducted to assess the impact of aripiprazole once-monthly injectable 400 mg (AOM 400; partial D(2) receptor agonist) and paliperidone palmitate once-monthly (PP1M; injectable, full D(2) receptor antagonist). METHODS: Psychiatrists provided data for their 2 most recent AOM 400 patients, 2 most recent PP1M patients. Survey included 2000 patient cases (1000 AOM 400; 1000 PP1M). Eligible patients were aged 18-35 years, had been diagnosed with schizophrenia within 5 years, received AOM 400 or PP1M continuously for >/=6 months according to approved labels (mean durations: 1.6 and 1.7 years with AOM 400 and PP1M, respectively). Assessments included Global Assessment of Functioning (GAF) Scale, Personal and Social Performance Scale, Positive and Negative Syndrome Scale, and Quality of Life Scale. GAF assessments were done retrospectively and also at the time of survey. RESULTS: Baseline mean GAF scores were 43.3 and 43.8 for AOM 400 and PP1M, respectively, indicating serious symptoms/functional impairment in both groups. Mean improvements following AOM 400 and PP1M therapy were 19.7 and 16.3 points, respectively (final scores in mild functional impairment category). Other measures assessing symptoms/functionality/quality of life demonstrated the benefits of long-term aLAI therapy. CONCLUSION: Schizophrenia patients with serious functional impairment prior to current aLAI treatment showed improvements in functional outcome after AOM 400 or PP1M therapy. These results suggest functional improvements with aLAIs are apparent not only in research but also real-world settings. CI - (c) 2021 Such et al. FAU - Such, Pedro AU - Such P AD - Medical Strategy and Communication, H. Lundbeck A/S, Valby, 2500, Denmark. FAU - Olivares, Jose Manuel AU - Olivares JM AD - Department of Psychiatry, Hospital Alvaro Cunqueiro, Health Research Institute Galicia Sur (IISGS), CIBERSAM, Vigo, Spain. FAU - Arias, Lizbeth AU - Arias L AD - Medical Strategy and Communication, H. Lundbeck A/S, Valby, 2500, Denmark. FAU - Troels Berg, Mette AU - Troels Berg M AD - Medical Strategy and Communication, H. Lundbeck A/S, Valby, 2500, Denmark. FAU - Madera, Jessica AU - Madera J AD - Global Medical Affairs, Otsuka Pharmaceutical Development & Commercialization, Inc, Princeton, New Jersey, 08540, USA. LA - eng PT - Journal Article DEP - 20210610 PL - New Zealand TA - Neuropsychiatr Dis Treat JT - Neuropsychiatric disease and treatment JID - 101240304 PMC - PMC8203189 OTO - NOTNLM OT - AOM OT - antipsychotic treatment OT - aripiprazole OT - aripiprazole once-monthly injectable OT - long-acting injectable OT - paliperidone palmitate once-monthly injectable COIS- PS, LA, and MTB: employees of Lundbeck, JMO: paid positions, honoraria, and/or advisory boards with/received from Angelini, AstraZeneca, Bristol-Myers, Casen Recordati, Esteve, GlaxoSmithKline, Janssen, Lilly, Lundbeck, Novartis, Otsuka, Pfizer, Sanofi, and grants from National Institute of Health Carlos III, Galician Innovation Agency, and the Spanish National Plan on Drugs, JM: employee of Otsuka. The authors report no other conflicts of interest in this work. EDAT- 2021/06/19 06:00 MHDA- 2021/06/19 06:01 PMCR- 2021/06/10 CRDT- 2021/06/18 06:40 PHST- 2021/02/02 00:00 [received] PHST- 2021/05/24 00:00 [accepted] PHST- 2021/06/18 06:40 [entrez] PHST- 2021/06/19 06:00 [pubmed] PHST- 2021/06/19 06:01 [medline] PHST- 2021/06/10 00:00 [pmc-release] AID - 303292 [pii] AID - 10.2147/NDT.S303292 [doi] PST - epublish SO - Neuropsychiatr Dis Treat. 2021 Jun 10;17:1881-1892. doi: 10.2147/NDT.S303292. eCollection 2021.